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SUNBRIDGE HEALTHCARE LLC NPI 1003853235


NPI Information

NPI: 1003853235
Provider Name: SUNBRIDGE HEALTHCARE LLC

Doing Business As: BOISE BEHAVIORAL HEALTH HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
8050 NORTHVIEW ST
BOISE, ID
ZIP 83704
Phone: (208) 327-0504
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SUNBRIDGE HEALTHCARE LLC is a psychiatric hospital in Boise, ID. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SUNBRIDGE HEALTHCARE LLC NPI is 1003853235. The provider is registered as an organization entity type.
The provider Is Doing Business As Boise Behavioral Health Hospital.

The provider's business location address is:

8050 NORTHVIEW ST
BOISE, ID
ZIP 83704-126
Phone: (208) 327-0504
Fax: (208) 327-0594

The provider's authorized official is William A. Mathies .
The authorized official title is President Director and has the following contact phone number (505) 468-5013.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 1/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric Hospital55IDAHONo
2283Q00000XPsychiatric Hospital13D858805 (LAB)IDAHONo
3283Q00000XPsychiatric Hospital1650 HP (PHARM)IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11257873MEDICARE ID-TYPE UNSPECIFIED
2134009MEDICARE ID-TYPE UNSPECIFIED
3806765000MEDICAIDIDAHO
42920900MEDICAIDIDAHO
51342482MEDICARE ID-TYPE UNSPECIFIED
6806769400MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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